MRS. AMANDA BRUCE NOVAK (NPI# 1689939746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689939746 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA BRUCE NOVAK |
| Other Name | AMANDA BRUCE ESSARY |
| Credential | WHNP |
| Practice Address |
1049 North Pine Road Hardtner Medical Center Olla LA 71465 |
| Practice Telephone | 3184953175 |
| Practice Fax Number | 3184950771 |
| Mailing Telephone | (318) 495-3175 |
| Mailing Fax Number | 3184950771 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2017-06-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
AP06941 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP06941 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609423110 | Amanda Novak | Social Worker | 1455 Dixon Ave, Lafayette, CO 80026-8879 | 2019-08-20 |
| 1932764628 | Amanda Nicole Novak | Nurse Practitioner | 166 Pasadena Dr Ste 100, Lexington, KY 40503-2974 | 2019-05-08 |
| 1962962670 | Amanda Novak | Pharmacist | 235 E State St, Saint Croix Falls, WI 54024-4117 | 2019-03-20 |
| 1326495896 | Amanda Novak | Pharmacist | 375 Randall Rd, South Elgin, IL 60177-2248 | 2016-05-15 |
| 1871853358 | Amanda Towery Novak | Pharmacist | 4875 Old York Rd, Rock Hill, SC 29732-8127 | 2012-05-18 |
| 1942594338 | Amanda Novak | Physician Assistant | 2373 64th St Sw, Ste 1200, Byron Center, MI 49315 | 2011-06-03 |
| Street Address |
1049 NORTH PINE ROAD HARDTNER MEDICAL CENTER |
| City | OLLA |
| State | LA |
| Zip Code | 71465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053415745 | Lasalle Parish Hospital Service District #1 | Clinic/Center | 1049 North Pine Road, Olla, LA 71465 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871044131 | Melainea Ashley | Counselor | 118 Ap Loop, Olla, LA 71465 | 2016-10-20 |
| 1982059705 | Kristen Derr | Occupational Therapist | 3822 Hwy 124e, Olla, LA 71465 | 2016-04-29 |
| 1578986634 | Advanced Sitting Solutions, Inc. | Day Training/Habilitation Specialist | 4446 A Hwy 165 South, Olla, LA 71465 | 2014-01-27 |
| 1144572579 | Advanced Sitting Solutions | Adult Companion | 4446 A Hwy 165, Olla, LA 71465 | 2012-10-09 |
| 1255681052 | Advanced Sitting Solutions | Adult Companion | 4446 Highway 165 South, Suite A, Olla, LA 71465 | 2012-09-19 |
| 1306117973 | Rickey Smotherman | Pharmacist | 2832 Front Street, Olla, LA 71465 | 2012-01-13 |
| 1801195300 | Surgeoncare Physicians of Louisiana, LLC | Surgery | 1160 N Pine Rd, Olla, LA 71465 | 2011-03-23 |
| 1962665372 | Laura Cummings Griffin | Nurse Practitioner | 1136 North Pine Rd, Olla, LA 71465 | 2008-07-07 |
| 1801072442 | Hardtner Medical Center | General Practice | 1102 North Pine Rd, Olla, LA 71465 | 2008-01-14 |
| 1205018017 | Kenneth P. Mauterer Md A Medical Corp | General Practice | 1148 N Pine Road, Olla, LA 71465 | 2007-12-04 |
| Find all providers in zip 71465 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093349078 | Alysha Hinson | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop Ste 306, Shreveport, LA 71105-5634 | 2020-02-27 |
| 1316591126 | Heather Jaet Simon | Nurse Practitioner | 113 Brewster Rd, Madisonville, LA 70447-9579 | 2019-07-30 |
| 1396233078 | Megan C Riley | Nurse Practitioner | 100 Womans Way Ste 407, Baton Rouge, LA 70817-5100 | 2018-04-27 |
| 1356759153 | Mary Tillman Acosta | Nurse Practitioner | 8001 Youree Dr Ste 320, Shreveport, LA 71115-2354 | 2014-07-24 |
| 1710226204 | Tara Rae Thompson | Nurse Practitioner | 5604 Coliseum Blvd Ste B, Alexandria, LA 71303-3993 | 2013-02-04 |
| 1942585591 | Iph, Slidel LLC | Nurse Practitioner | 2364 Gause Blvd E Ste 101, Slidell, LA 70461-4141 | 2011-10-14 |
| 1265725402 | Katherine Maranto Salley | Nurse Practitioner | 827 Margaret Pl, Suite 201, Shreveport, LA 71101-4523 | 2011-05-20 |
| 1225361827 | Paulette Guidry Landry | Nurse Practitioner | U L Lafayette Student Health, 120 Boucher Dr., Lafayette, LA 70504-0001 | 2009-09-14 |
| 1467695700 | Heather M Lenox | Nurse Practitioner | 4540 Amb Caffery Pkwy, Ste C 220, Lafayette, LA 70508-6928 | 2009-04-16 |
| 1447413828 | Monica Valenti Smith | Nurse Practitioner | 806-b Riverside Drive, Franklinton, LA 70438-3688 | 2008-07-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. AMANDA BRUCE NOVAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.